The Department of Health and Human Services has filed a civil complaint against La Plata, Md.-based internist Abdul Fadul, MD, accusing him of fraudulently collecting more than $814,000 from Medicare and Medicaid, according to a Washington Examiner report. The complaint…
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Catholic Healthcare West has agreed to pay $9.1 million to settle allegations that seven CHW hospitals submitted false Medicare claims, according to a Sacramento Business Journal report. The allegations stem back to the 1990s, with the Department of Justice becoming…
In its transition from “pay and chase” to fraud prevention, CMS has published its Final Rule, which governs payment suspension, screening requirements and other anti-fraud measures under the Patient Protection and Affordable Care Act, according to a report from ReedSmith.…
The Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the "PPACA"), contains numerous provisions related to healthcare fraud and abuse and program integrity.The PPACA went into effect…
Visual monitoring of the Tuohy needle tip under fluoroscopy can serve as an alternative approach for needle placement in spinal cord stimulator trials and implantation, according to an article published in Pain Physician.
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Healthcare reform may shift pharmaceutical companies' focus from product features to patient outcomes, according to a report from PricewaterhouseCoopers.
False claim allegations in the healthcare arena are on the rise due to rigorous enforcement, a more generous federal budget and incentives for whistleblowers. “False claims have become a hot button issue,” says David Pivnick, JD, an attorney in the…
DCS, the Region A recovery audit contractor covering the Northeast, has overturned its automated reviews of untimed codes, according to a notice on the DCS website.
AZ West Endoscopy Center, a new endoscopy ASC under development in Phoenix has an exciting opportunity for an experienced Administrator/Nurse Manager for a new center opening this summer. Aside from responsibilities listed below, this person will be integral in assisting…
Lynn S. Feldman, RN, MBA, administrative manager of Eastwind Surgical, a spine center in Westerville, Ohio, discusses eight reimbursement and business concepts for spine.